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~ DALLAS COUNTY HEALTH AND HUMAN SERVICES
~ ~ ~ ~y ENVIRONMENTAL HEALTH DIVISION
2377 N. STEMMONS FRWY. ROOM 607
•~'~"rF oF .~E~'"~ (214) 819-2115 Fax: (214) 819-2868
~ ~ '°`~" I I CITY/TOWN ~~~~~~r 7'" ""~" ~~ ~
Establishment}~2ff.Ct~~~' i"7<Sj" ~ Owner: `~/~~ ~d~?"~j~
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Physical Address:,; ;°~.~ ~~d~~ ~/~~~ ~ Zip: ~~(~ Phone: (~~ ) ~~--~~ ~
e~' 1. Proper Cooling for Cooked/Prepared Food
2. Cold Hold (41 degrees Fahrenheit145 degrees Fahrenheit)
,/' 3. Hot Hold (135 degrees Fahrenheit)
G/' 4. Proper Cooking Temperatures
5. Rapid Reheating (165 degrees Fahrenheit in 2 Hrs)
~ Item/Location/Temperature
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4 ~'~ Vicil~~ii~s ~quire :~iecliate ~rr~cfive ~~~~n; Rernar~s
6. Personnel with Infections Restricted/Excluded
7. Pro er/Ade uate Handwashin
8. Good H ienic Practices (Eatin /Drinking/Smoking/Other)
9. Approved Source/Labeling
10. Sound Condition
ll. Proper Handling of Ready-To-Eat Foods
12. Cross-contamination of Raw/Cooked Foods/Other
/ 13. Approved Systems (HACCP Plans/Time as Public Health Control)
14. Water Supply - Approved Sources/Sufficient Capacity/Hot and Cold Under Pressure
~UT IN NA NO COS F~Cilll~y Sitd. E~uip~~ilt R+eQ~li1'elt~+~n,ts
s rrs _ Vig~a~iat~s: R~q~zire Irnmediate Cnrrection,'Not'Ta;~~eeed' 10 Days Remarks
~ 15. E ui ment Ade uate to Maintain Product Tem erature
16. Handwash Facilities Ade uate and Accessible
/ 17. Handwash Facilities with Soa and Towels
/ 18. No Evidence of Insect Contamination
19. No Evidence of Rodents/Other Animals
20. Toxic Items Pro erl Labeled/Stored/Used
21. Manual/Mechanical Warewashin and Sanitizin at ({ m/temperature
/ 22. Mana er Demonstration of Knowled e/Certified Food Manager
23. A roved Sewage/Wastewater Dis osal S stem, Pro er Dis osal
r~ 24. 'Thermometers Provided/Accurate/Pro erl Calibrated (t2 de rees Fahrenheit)
v 25. Food Contact Surfaces of E ui ment and Utensils Cleaned/Sanitized/Good Re air
26. Postin of Consumer Advisories (Heimilich/Disclosure/ReminderBuffer Plate)
27. Food Establishment Permit
~ Inspected by: ~~, Print: ` ~~~~'~'~-e
Total ; ~ -
F/U,~ Received by: ~ . ~~,~~~~~~j ~~ Print: ~',r~ j~ ~ ~~~~~ Titl . ~~ ~ s~~`